HomeMy WebLinkAbout0147 CINDERELLA TERRACE - Health 124-1 (!,r'Yl c',6,Qe, T e- a c
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L O C A T ION S E*AGE PE RIRIT 9110.
VILLAGE / 4/ `7—
INSTALLER'S NAME i ADDRESS
14
HAP
BUILDER OR iWNER
DATE PERMIT ISSUED �c� Af
DAT E COMPLIANCE ISSUED /v��� 1g/
C &j i aLa Li-A I e JZP,A-C.E
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THE COMMONWEALTH OF MASSACHUSETTS
r fU S BOARD OF HEALTH
TOWN BARNSTABLE
.................. ...................OF......--...........................I----------------- - -----------------
-7 Application -fur liiipuuttt Worko Tonutrnrtiun Va mi#
Application is hereby made for a Permit to Construct ( ) or Repair. ( ) .an Individual Sewage Disposal
System at: .
CINDERELLA- TEft..MARSTON---MILLS------------ ------- OT...U --•--------------------C--747m2---------------------•-----
Locati n•Address or Lot No.
................ ...... �.Q?! .....................................
........................................_.........................................................
O ne a Address
a -------------------------------
I ller 6/ - Address
�
035____S feet Type of Building Size Lot........ q.
U Dwelling X—No. of Bedrooms__3 - --------
_________________________ ___ Expansion Attic ( ) Garbage Grinder ( )
Other—Type e of Building ---------------------_-_-- No. of persons. 6_______---__--_ Showers Cafeteria
G•r YP g P 3-- - ( ) — ( )
Other fixtures _______________________________
¢ bedroom--------------------- --------- ------------------�---------------------------------------
W Design Flow.................11D...................gallons per t per day. Total daily flow........3-3.------------------------------gallons.
WSeptic Tank Liquid capacityl000_gallons Length._t.6.!!_... Width_J.!.1 O_" Diameter................ Depth-4 t------.--.
x Disposal Trench—No..................... Wi{1 ------------------ Total Length__61............. Total leaching area- ---.sq. ft.
Seepage Pit No......1------------- Diameter-------------------- Depth below inlet..........,......... Total leaching area___26 7 ..sq. ft.
z Other Distribution box (X ) Dosing tank ( )
Percolation Test Results Performed byC_•_E.Whiting...C.CSL---------------------------- Dat$ty-_--1-5-Y---197g-.....
,a Test Pit No. 1....2.........minutes per inch Depth of Test Pit-----5.t....._.... Depth to ground water.n4Dn8--.---..----
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-sncuuntsred
------- -------------------• - ---------•--------------•------------------------------------------------------------------------------
Description of Soil------------ _ 'S! wood loam, -512_, -t----SLib_ 9 ,�__Wier_ l__[AI�11te---GIc1
x ----------- -----2._5'--_.- b f medium co-ars-e--sand 6'-------i2"' meth _sand ti��-O�
V --- j -MqS
W ---------- --------------------- water__—A--- nt. xed------ -------------------- ---------- -- -�- ------------- s9
UNature of Repairs or Alterations—Answer when $livable---- - ------------ _-_ _ .---REI�IB 1CK.. gym
--- ---------- ---- -- -------=------------- -•----------._
CHAPMAN
Agreement: 0 C No. 2 654
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in � tce
provisions of Article \I of the State Sanitary bode—The undersigned further agrees not to plac /STEt}�•
tion unti a ' rtificate of Compliance has b en issue by the boar of health. NA
SiJ- .............. --------------------------------
Date
Application Approved --------- ---- - -• ---- ---- - ��- --••--•-••----•--- ------•-•-
Application Disapproved for the following reasons:.....................................'--------------------------------------------------------------------------
----------•-----•............••-----•---------------------------••--•--••------•-------------•••-----•----•-•-------••----------•-•-----------------------------------------------•---....--------------
Date
PermitNo......................................................... Issued........................................................
Date
N Fsic..............................
9 �
THE COMMONWEALTH OF MASSACHUSETTS ✓�
BOARD OF HEALTH vvv
TOWN ABTA LE
---- -.. .... OF................... ............ ... .......
Applirtttiun -for Uhipsal Works Toutitrnrtinn Vrrmit
Applicationis hereby made foie a Permit to Construct ($ ) or Repair ( ) an Individual Sewage Disposal
Sy�ssteemi at: t�l j!p /�t(��t MILLS
� �7 �+� yet 1
�7ai'iD L�A ?1!+R,_.. Sl0R---i'liLLS----------- -------#4J_ �1-----•------------- Lot�llo.��Yf Wlc�.....•..---.........---•--
Location-Address
�"�'�� -•-------•------•---------.Address
a �/ . a----.... - a''�s 1 mod-
� r��,� f Address
d Type of Building �'! p Size Lot........2AD � ---Sq. feet
U Dwelling-XNo. of Bedrooms---.�--------------------------------------Expansion Attic ( ) Garbage Grinder� ( )
aOther—Type of Building ____________________________ No. of persons.___3,6-_-_--____-_.__ Showers ( ) — Cafeteria ( )
a' Other :fixtures ........................•-•-•---h_
W Design Flow...._.__.s--------1.0..................gallons pe"f Rr day. Total daily flow gallons.
WSeptic Tank- Q.iquid capacitvOQgallons Lengtht (i___ Width__ .t lax►Diameter________________ Depth__ +___.__ .
x Disposal Trench No.................... Width.....................-Total..Length'._.._......_..._.. Total leaching area-__ _____.___Sq. ft.
Seepage Pit No------- __;,________ Diameter._10.__.....___. Depth below inlet_ 3.� Total leaching area 2 6 7 -sq. ft.
'r' Z Other;Distribution box O Dosing tank ( ) n
W Percolation Test Results Performed byt_wF_ Wh jt jja.X__-Cow......... ................. Dat aq�._._�, __-_-1.9,9
Test Pit No. 1...._�...._..__minutes per inch Depth of Test Plt____�_l...._.�__ Depth to gn 'wafer
-tldne,r------ -
f14 Test Pit No. 2................minutes per inch Depth of Test Pit.__:_____-_._:__-__ Depth to ground water_e�te ed
- 't
D Description of Soil__ ---- ,. _r 5 t___IAI'OS2tj _ tj 8tttia-. .}�t -- ' SE ---with--white C- #-OF 41.
�y /n }� r i5� Aim in�i fig
..- -•-------------�-�i t----S'• ++-f----7J�er�ciUM-,-TiiVir��1c TJ a� '-�$n�' V Z . ••mediti�W�--- �j, -- O� --------
--------no---w er---4mc*>FtAt er_(W----- -- � ....B1=MUCK G
U Nature bf Repairs or Alterations—Answer when applicable........._ __ __. ---- ----- - ---- ------------------- a CRAB
PMAN
--•===- ------------•-•------_ ------•-------•------•---- •--------•----.... - -----•------------ No:27654
Agreement �r S -10 p�
The undersigned4agree's to install the aforedescribed Individual S age isposal System in acc o1 GIST
,Y ••provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the s ONAt N
E tion until la C tifrcate of Compliance h s been is ue by the and of health.
J
Si y Date
ApplicationApproved B ----------------------= ---------------- ...................................................... Date
Application Disapproved for the f ollo t
Ii '
Date
PerrmitNo--------------------------------------------------------- Issued........................................................
Date
/ THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.....................OF...................................... ... .........................................
°``''`(1rrti$irntr nrr
THIS IS TO CERTIFY, That the Individual ewa e Dis osal System constructed ( ) or Repaired ( )
by-------------------- a..-r.., s -=t -----------�----------------------------------
- Installer
at-------------------- -- --- ram- -------,;
has been insti erin aalord� siot -�fy�l ticle X T1; Sanitary Code as described in the
application for Disposal Works Construction Permit No. ................................ dated------------------------------------------------
THE ISSUANCE OF THIS CERTIFICATE SH f 1366O'NSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE............................................... a-I ..`".1..........---- Inspector------------------ .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF.........
Noe Id�ts . FEE------•--
,�,,, .......
Ris:pnnttl Works 01nnntrnrtinn Vrrntit 3,0
Permission is hereby granted �_ «"-----� `"� - ....:..D � -------, = ....
to Construct �_) or Repair ( ) a al S, g al System
atNo.........Z ------------------------------------•-----------•-------------------------------- -----------------------------------------V--------------------------------•-----•---
(�/p7 4 ��—''' street
as shown on the application for Disposal orks Con7truction Permit No------------- ----------------------------------------
_._--------------------------------------
..
DATE..............A '/6��
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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4 C. I. S'
Box
-4 1000 O, 1000 — GAL
I GAL
PRECAST OR ,
SEPTIC ! 6 , r BOCK °
r 'ANK °. . SEEPAGE PIT I
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20 . MINIMUM
1 FOUNDATION
i %i WASHED STONE
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ELEVATION SKETCH 3
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ELEVATION SCHEDULE PROPOSED SITE PLAN
NV 4T F0UNG 710N
SEWAGE SYS,`' EM DESIGN
e I 2 Nv NTO SEF T TANK (2„ �
tam 3 NV T OF SEPT C TANK = A)Z.Lz
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4 Nv •.T,� D,5'RsBUT10N BOx vz• SCA F ��� ;P7.4 y 97`i
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s N )F CAST r,BUTION BOX
'[RCr. wAT[ f 1!ti'6�>FFi 2lwih�/I;tr _ APF / ��` -ANTS
6 !NV N ' SEEPAGE PIT `QI• /Q rr .. • ,r �
TEST BY _ 1 .f_..lalllllllv6
' OWN INSPECTOR' PA VA, T BOTT)1V ' F Pl'
BACKHOE OPERATOR _ C, ► . w a a.,. v_,•.w.r.
TEST- MADE ON !�` Z}� --_ _ 8 BOTTOM OF SCONE LAYER = _(6,
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